SearchFlorida374U00000X

Proviess Jiles

NPI 1750820932 · on the registry since 2017 · sole proprietor

Practice

Address
2343 Lake Weston Dr
1516
Orlando, FL 32810
Phone
(401) 327-1354

Registry record

Primary taxonomy
374U00000X
374U00000X
Also registered as
376J00000X
376K00000X
172A00000X
372500000X
372600000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-02-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida